08D2233117 CLIA NUMBER - NCCO HOME CARE DBA GRISWOLD HOME CARE (HOME CARE AGENCY)

Laboratory Demographics

CLIA Number: 08D2233117

Facility Name: NCCO HOME CARE DBA GRISWOLD HOME CARE (HOME CARE AGENCY)

Facility Address:
5145 W WOODMILL DRIVE SUITE 22
WILMINGTON, DE
ZIP 19808
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Facility Phone Number: 302 456-9904

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1801244322

Taxonomy: 253Z00000X - In Home Supportive Care
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

CLIA Record

Field Name	Field Value
CLIA Number	08D2233117
LAB Type	Home Health Agency
Facility Name	NCCO HOME CARE DBA GRISWOLD HOME CARE (HOME CARE AGENCY)
Street	5145 W WOODMILL DRIVE SUITE 22
City	WILMINGTON
State	DE
ZIP	19808
Phone	302 456-9904
CertificateType	4
CertificateEffectiveDate	8/20/2023
CertificateExpirationDate	8/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024